<div id="content" class="row" style="padding-top: 0px !important;">
    <div class="span12">
        <section class="parallax-box image-parallax-box">
            <div class="parallax-content">
                <section class="lazy-load-box trigger effect-slidefromleft " data-delay="100"
                         data-speed="550"
                         style="-webkit-transition: all 550ms ease; -moz-transition: all 550ms ease; -ms-transition: all 550ms ease; -o-transition: all 550ms ease; transition: all 550ms ease;">

                    <div class="row ">
                        <div class="span4">&nbsp;</div>

                        <div class="span8" style="padding-top: 30px;">
                            <h2>Thông tin yêu cầu</h2>

                            <form action="" method="post" class="">
                                <div class="col-lg-6">
                                    <div class="form-group">
                                        <label for="fullname">Loại tài sản</label>
                                        <input type="text" class="form-control" id="fullname"
                                               placeholder="Họ và tên">
                                    </div>
                                    <br/>

                                    <div class="form-group">
                                        <label for="phone">Thành phố</label>
                                        <input type="text" class="form-control" id="phone"
                                               placeholder="Số điện thoại">
                                    </div>
                                    <br/>

                                    <div class="form-group">
                                        <label for="email">Quận huyện</label>
                                        <input type="email" class="form-control" id="email"
                                               placeholder="Email">
                                    </div>
                                    <br/>

                                    <div class="form-group">
                                        <label for="email">Diện tích</label>
                                        <input type="email" class="form-control" id="email"
                                               placeholder="Email">
                                    </div>
                                    <br/>

                                    <div class="form-group">
                                        <label for="email">Mức giá</label>
                                        <input type="email" class="form-control" id="email"
                                               placeholder="Email">
                                    </div>
                                    <br/>
                                </div>
                                <div class="col-lg-6">
                                    <div class="form-group">
                                        <label for="fullname">Họ và tên</label>
                                        <input type="text" class="form-control" id="fullname"
                                               placeholder="Họ và tên">
                                    </div>
                                    <br/>

                                    <div class="form-group">
                                        <label for="phone">Số điện thoại</label>
                                        <input type="text" class="form-control" id="phone"
                                               placeholder="Số điện thoại">
                                    </div>
                                    <br/>

                                    <div class="form-group">
                                        <label for="email">Email</label>
                                        <input type="email" class="form-control" id="email"
                                               placeholder="Email">
                                    </div>
                                    <br/>

                                    <div class="form-group">
                                        <label for="email">Ghi chú</label>
                                        <textarea class="form-control" rows="3"></textarea>
                                    </div>
                                    <br/>

                                    <div class="form-group">
                                        <label for="email">&nbsp;</label>
                                        <a href="" class="btn btn-primary">Gửi yêu cầu</a>
                                        <a href="" class="btn btn-primary">Nhập lại</a>
                                    </div>
                                    <br/>
                                </div>

                            </form>
                        </div>
                    </div>


                </section>
                <div class="clear"></div>
            </div>
            <div class="parallax-bg" data-parallax-type="image"
                 data-img-url="<?php echo base_url('uploads/images'); ?>/prallaximg_1.jpg"
                 data-speed="normal" data-invert="false"></div>
        </section>
    </div>
</div>